Active NPI
Charlotte Maria Enoch, CTRS
- Recreation Therapist
- Farmington Hills, MI
National Provider Identifier
1497241004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 48313
- Practice address
- 27991 Rollcrest Rd Apt 7
Farmington Hills, MI 48334-4063 - Phone
- (248) 417-3580
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 48313 | NY | Primary |
Addresses
Primary practice location
27991 Rollcrest Rd Apt 7
Farmington Hills, MI 48334-4063
Mailing address
27991 Rollcrest Rd Apt 7
Farmington Hills, MI 48334-4063
Phone (248) 417-3580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1497241004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27991 ROLLCREST RD APT 7",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483344063",
"telephone_number": "248-417-3580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27991 ROLLCREST RD APT 7",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483344063",
"telephone_number": "248-417-3580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENOCH",
"first_name": "CHARLOTTE",
"middle_name": "MARIA",
"credential": "CTRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NY",
"license": "48313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.